CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Colleton Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $4,292
Cash Discount Price: $7,783
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Colleton Medical Center is $4,292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,783. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.89x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$7,783

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,292

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)

Cash / Self-Pay: $7,783 (887%)

Insurance Median: $4,292 (489%)

Cash: $7,783 (887% of Medicare)

Ins. Median: $4,292 (489% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 489% of the Medicare baseline (a markup of 389%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Choice	$448	51%
United	$448 - $4,292	51%
Absolute Total Care	$1,180 - $1,455	134%
Molina	$1,455	166%
Nhc Advantage	$1,536	175%
Pruitt Health	$1,536	175%
Sc State Employees	$2,130 - $2,430	243%
Blue Choice Health Plan	$2,261 - $2,363	258%
Blue Cross Blue Shield	$2,261 - $7,678	258%
Select Health	$3,475	396%
Employers Health Network	$3,637	415%
Value Option	$4,041	461%
Vocational Rehab	$4,364	497%
Medcost	$4,558 - $5,900	520%
Aetna	$4,679	533%
Cigna	$5,221	595%
Humana	$5,253 - $7,274	599%
Evernorth	$6,466	737%
Multiplan	$6,870	783%
North American Administrators	$6,870	783%
Prime Health	$6,870	783%
First Health	$7,274	829%
Novanet	$7,274	829%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $7,783.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Colleton Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.